Tạp Chí Y Học Cộng đồng · Mar 31, 2026
Comprehensive geriatric assessment in older patients in the Emergency and Stroke Department, National Geriatric Hospital
By Thắng TĐ, TAM NT, Huyền VTT et al.
OBJECTIVE: To describe the results of comprehensive geriatric assessment (Comprehensive Geriatric Assessment – CGA) in older patients in the Emergency and Stroke Department, National Geriatric Hospital, and assess associations between CGA components and short-term treatment outcomes. SUBJECTS AND METHODS: A descriptive cross-sectional study of 229 patients ≥ 60 years of age treated from 9/2024–9/2025. All underwent CGA within 24–48 hours after admission, including the following domains: ADL, IADL, Mini-Cog, GDS-15, CAM-ICU, MNA-sf, CFS, fall risk, polypharmacy, and comorbidities. Treatment outcomes were categorized as discharge, transfer to another facility, or severe clinical deterioration (death/discharge on request). RESULTS: Mean age was 76.5 ± 7.6; the ≥80 age group accounted for 42.8%. Men accounted for 55.9%. ADL impairment was present in 76.8%; IADL impairment in 78.6%; cognitive impairment in 34.9%; delirium in 31.9%; depression in 36.2%; malnutrition in 21.8%; high fall risk in 44.1%; frailty syndrome in 60.3%; and polypharmacy in 52%. Outcomes: 53.3% were discharged, 32.8% were transferred to another facility, and 14.0% died/were discharged on request. Five independent prognostic factors for poor outcomes were older age (OR=1.079; p=0.018), lower ADL scores (OR=0.750; p=0.032), delirium (OR=2.697; p=0.016), higher CFS scores (OR=1.390; p=0.022), and high fall risk (OR=1.204; p=0.017). CONCLUSIONS: CGA in the Emergency Department helps identify risk factors early (functional impairment, delirium, frailty, etc.) that adversely affect prognosis in older patients, helping guide early interventions and improve treatment outcomes.